Articlegold2014

Associations of neighborhood area level deprivation with the metabolic syndrome and inflammation among middle- and older- age adults

Akilah Dulin · Suzanne E. Judd · Virginia J. Howard · April P. Carson · Jamy D. Ard · José R. Fernández

98 citations0/0 files storedBMC Public Health

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Health disparities and outcomes Diabetes, Cardiovascular Risks, and Lipoproteins Adipokines, Inflammation, and Metabolic Diseases

Abstract

BACKGROUND: The study examines the association of neighborhood socioeconomic deprivation and metabolic syndrome with inflammation. METHODS: The analysis included 19, 079 black and white participants from the REasons for Geographic And Racial Differences in Stroke Study who were age > 45 years at baseline. Logistic regression examined whether neighborhood deprivation was associated with increased odds of METS and CRP-MetS. RESULTS: Among black adults, residing in the most deprived neighborhoods was associated with increased odds of obesity (p < .01), lower HDL (p < .001), high blood pressure (p < .01), elevated fasting glucose (p < .001), inflammation (p < .01), and CRP-MetS (p < .001). Among white adults, neighborhood deprivation was associated with higher waist circumference (p < .001), lower HDL (p < .001), higher triglycerides (p < .01), higher glucose (p < .001), higher BMI (p < .0001), higher blood pressure (p = .01), METS (p < .001), inflammation (p < .01) and CRP-MetS (p < .001). CONCLUSIONS: These findings highlight the role of neighborhood socioeconomic deprivation on METS and CRP-MetS for black and white adults. Interventions tailored to address the contextual effects of deprived neighborhoods may reduce the observed neighborhood disparities.

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References

2011Neighborhoods, Obesity, and Diabetes — A Randomized Social Experiment 1998Individual social class, area-based deprivation, cardiovascular disease risk factors, and mortality: the Renfrew and Paisley Study.2003Residential Environments and Cardiovascular Risk 2001Area Characteristics and Individual-Level Socioeconomic Position Indicators in Three Population-Based Epidemiologic Studies 2006Psychosocial and Behavioral Predictors of Inflammation in Middle-Aged and Older Adults: The Chicago Health, Aging, and Social Relations Study 2007Inequities in CHD Incidence and Case Fatality by Neighborhood Deprivation 2006Neighborhood deprivation and cardiovascular disease risk factors: Protective and harmful effects 2009Neighbourhood socioeconomic status and biological ‘wear and tear’ in a nationally representative sample of US adults

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